Mental health in the Mbya Guarani population: Analysis of cultural practices in search of well being
Given the relevant prevalence of mental health problems in Mbyá Guaraní indigenous population and the lack of specific information for a more effective care in these communities, it is necessary to delve into their conceptions on mental health, illness and their use of therapeutic systems. Positive associations of the indigenous conception of well-being and certain cultural practices are found in the literature.
The aim of this work is to synthesize the existing literature on conceptions of mental health, illness, cultural practices, and use of therapeutic systems in the indigenous population. A systematic search of the existing literature was carried out in order to review findings on the conceptions of mental health in indigenous population. The databases used were Pubmed, Cochrane Library, Scielo, and Redalyc. The findings show that the conception of mental health is closely related to the idea of well-being or good living, disease is conceived as disease of the spirit; and because of the variability of its causes, indigenous people resort to different types of care, including self-care in the first place, consultation to the Opygúa and medical advice from the white doctor on some problems for which medication can prove effective.
Determinants of vaccine acceptance are multifactorial, complex, and in most cases, context-dependent. We determined the prevalence of COVID-19 vaccination intention (VI) and fear of its adverse effects (FAE) as well as their associated factors in Latin America and the Caribbean (LAC).
METHODS
We conducted a secondary cross-sectional analysis of a database collected by the University of Maryland and Facebook. We included participants aged 18 and over from LAC surveyed, January 15 to February 1, 2021. We evaluated VI, FAE, sociodemographic characteristics, COVID-19 symptomatology, compliance with community mitigation strategies, food and economic insecurity, mental health evaluation and the influence in VI when recommended by different stakeholders. We calculated crude and adjusted prevalence ratios with their 95%CIs.
RESULTS
We analyzed 472,521 responses by Latin American adults, finding a VI and FAE prevalence of 80.0% and 81.2%, respectively. We found that female and non-binary genders were associated with a lower probability of VI and a higher probability of FAE. Besides, living in a town, village or rural area and economic insecurity was associated with a higher FAE probability. The fears of becoming seriously ill, a family member becoming seriously ill from COVID-19 and having depressive symptoms were associated with a higher probability of VI and FAE.
CONCLUSION
Eight out of 10 adults in LAC have VI and FAE. The factors identified are useful for the development of communication strategies to reduce FAE frequency. It is necessary to guarantee mass vaccination and support the return of economic activities.